Nurse Practitioner

We are seeking a Nurse Practitioner who will work collaboratively within a multi-disciplinary health team and is responsible for providing comprehensive and age-appropriate care to both well and ill patients. Educates patients and families and intervenes in acute or chronic illness. Practices within the guidelines of the department and institution and in accordance with the Nurse Practitioner- Physician Written Agreement required and approved by the State of Maryland and the Nurse Practice Act of the State of Maryland. Is granted privileges by the Johns Hopkins University School of Medicine. These privileges are reviewed annually by the University and the Hospital (see A Delineation of Privileges@ form).

Specific Duties & Responsibilities

• Provides comprehensive, age appropriate and episodic care to patients as a member of the multi-disciplinary health care team.
• Coordinates scheduling of and conducts comprehensive and/or episodic health assessments of patients/families with real, potential, acute and/or chronic health problems.
• Performs history and physical examination as it relates to chief complaints
• Discriminates between normal and abnormal findings in the history and physical.
• Identifies differential diagnosis.
• Assesses severity of illness and establishes plan for evaluation.
• Records and documents assessment data necessary to maintain, coordinate, and/or expedite required services.
• Orders appropriate laboratory studies, radiographic studies, and other tests specific to the diagnosis or protocol.
• Makes referrals to appropriate specialties.
• Follows long term progress of patients including history and physical examination, orders and interprets re-staging tests, and assesses status.
• Provides outside referring physicians with reports on patients’ status by ordering, interpreting, collecting, and communicating results and recommendations to the physician. Consults with referring physicians regarding questions specific to the treatment course and/or its complications, suggesting treatment plans and making appropriate referrals for further follow up.
• Observes for evidence of long term effects of treatment.
• Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.
• Performs a comprehensive history and physical for patients in multidisciplinary clinic and collaborates with the team to establish and implement a treatment plan.

• Performs, but is not limited to the following advance procedures, routine laboratory procedures such as cultures, smears, venipuncture’s, electrocardiograms.
• Learns to perform advanced procedures such as skin biopsy, paracentesis, access Omaya and administer chemotherapy as well as other procedures deemed necessary that are within the scope of practice.

• Maintains CPR certification.
• Maintains airway, breathing, and circulation.
• Starts and provides basic CPR.
• Orders and administers anti-anaphylactic and supportive medications.
• Works in collaboration with the physician and realizes and is able to detect those deviations from normalcy or from established protocols which require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psycho-social, and other resources.
  

• Understand and works within the scope of the Nurse Practitioner-Physician written agreement and the State Nurse Practice Act and realizes limitations within the medical scope of the practice.

Prescribes Drugs

• Prescribes medications, including oral, parenteral, intramuscular, or subcutaneous drugs.
• Prescribes Schedule 2, 2N, 3, 3N, 4, 5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA.

Research Coordination

• Will work with specific protocols to ensure that all protocol driven tests, examinations, and procedures are ordered, performed and evaluated and data is retrieved, entered on appropriate forms.
• Coordinates scheduling, orders appropriate tests, evaluates results, records data, performs patient evaluations and participates in care of patients on specific protocols regarding specific disease entities and treatment.
• Works in collaboration with the Principal Investigators and research team members of specific protocols to ensure the completeness of protocol requirements.

Educational Responsibilities

• Provides preceptorship to RN, Masters preparing NP, and PA students through collaboration with and direction from their respective University professors.
• Supervises and evaluates student/patient interactions in an academic setting.
• Assumes responsibility for patient care as provided by the student. Is granted affiliate/adjunct faculty status with the various universities with whom he/she works.
• Develops expertise and expands knowledge in specific areas and shares that knowledge and expertise with colleagues as consultant in planning care for patients.
• Participates in rounds and meetings for consultation.
• Performs oncology related procedures, as called upon within the scope of practice.

Fiscal Responsibility

• Assumes fiscal responsibility with working knowledge of evidence based medical model.
• Effectively uses resources of the patient and the institution.
• Is aware of and adheres to specific capitations and limitations of the patients insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances.
• Utilizes referrals to Home Health in order to provide optimum care in the appropriate setting.
• Has knowledge of and utilizes all available resources in the event that the patients’ resources are limited or unavailable in order to provide medical care and social well-being.

Minimum Qualifications

• Master's Degree in Nursing.
• Registered Nurse license and Certified as a Nurse Practitioner.
• Must be licensed as NP in State of Maryland or other state where practicing.
• Additional experience may substitute for master's degree, to the extent permitted by the JHU equivalency formula.

The Cancer Diagnostic Clinic provides timely access and a coordinated diagnostic process to confirm or rule out the diagnosis of cancer, and to determine the stage and treatment options, if cancer is confirmed.  The nurse practitioner/physician assistant will manage testing (labs, scans) and visits in order to diagnose a patient’s specific type of cancer, leading to expedited care with expert oncologists.

**Current American Heart Association or American Red Cross CPR certification required.  Must maintain current licensure and certification during duration of employment.  Completion of the JHH credentialing process is required prior to start date**

Physical Requirements: 

Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction.  Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s).  Ability to move standard equipment through a hospital or clinical environment.

Classified Title: Nurse Practitioner
Role/Level/Range: ACRP/04/MG
Starting Salary Range: Min $100,00 - Max $151,400 ($118,950 targeted; Commensurate with experience)
Employee group: Full Time
Schedule: M-F, 830-500
Exempt Status: Exempt
Location: School of Medicine Campus
Department name: SOM Onc Medical Oncology
Personnel area: School of Medicine 

Total Rewards
The referenced salary range is based on Johns Hopkins University’s good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/

Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.

**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.

The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate’s conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.

The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion .

Accommodation Information

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office at [email protected] . For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit accessibility.jhu.edu .

Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. The COVID-19 vaccine does not apply to positions located in the State of Florida. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/ .

The following additional provisions may apply, depending on campus. Your recruiter will advise accordingly.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

Note: Job Postings are updated daily and remain online until filled.